31A-23a-105.  General requirements for individual and agency license issuance and renewal.

(1) 

Terms Used In Utah Code 31A-23a-105

  • Agency: means :
(a) a person other than an individual, including a sole proprietorship by which an individual does business under an assumed name; and
(b) an insurance organization licensed or required to be licensed under Section 31A-23a-301, 31A-25-207, or 31A-26-209. See Utah Code 31A-1-301
  • Application: means a document:
    (a) 
    (i) completed by an applicant to provide information about the risk to be insured; and
    (ii) that contains information that is used by the insurer to evaluate risk and decide whether to:
    (A) insure the risk under:
    (I) the coverage as originally offered; or
    (II) a modification of the coverage as originally offered; or
    (B) decline to insure the risk; or
    (b) used by the insurer to gather information from the applicant before issuance of an annuity contract. See Utah Code 31A-1-301
  • business of insurance: includes :
    (a) providing health care insurance by an organization that is or is required to be licensed under this title;
    (b) providing a benefit to an employee in the event of a contingency not within the control of the employee, in which the employee is entitled to the benefit as a right, which benefit may be provided either:
    (i) by a single employer or by multiple employer groups; or
    (ii) through one or more trusts, associations, or other entities;
    (c) providing an annuity:
    (i) including an annuity issued in return for a gift; and
    (ii) except an annuity provided by a person specified in Subsections 31A-22-1305(2) and (3);
    (d) providing the characteristic services of a motor club;
    (e) providing another person with insurance;
    (f) making as insurer, guarantor, or surety, or proposing to make as insurer, guarantor, or surety, a contract or policy offering title insurance;
    (g) transacting or proposing to transact any phase of title insurance, including:
    (i) solicitation;
    (ii) negotiation preliminary to execution;
    (iii) execution of a contract of title insurance;
    (iv) insuring; and
    (v) transacting matters subsequent to the execution of the contract and arising out of the contract, including reinsurance;
    (h) transacting or proposing a life settlement; and
    (i) doing, or proposing to do, any business in substance equivalent to Subsections (95)(a) through (h) in a manner designed to evade this title. See Utah Code 31A-1-301
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • consultant: means a person who:
    (a) advises another person about insurance needs and coverages;
    (b) is compensated by the person advised on a basis not directly related to the insurance placed; and
    (c) except as provided in Section 31A-23a-501, is not compensated directly or indirectly by an insurer or producer for advice given. See Utah Code 31A-1-301
  • Department: means the Insurance Department. See Utah Code 31A-1-301
  • Escrow: Money given to a third party to be held for payment until certain conditions are met.
  • Escrow: means :
    (i) a transaction that effects the sale, transfer, encumbering, or leasing of real property, when a person not a party to the transaction, and neither having nor acquiring an interest in the title, performs, in accordance with the written instructions or terms of the written agreement between the parties to the transaction, any of the following actions:
    (A) the explanation, holding, or creation of a document; or
    (B) the receipt, deposit, and disbursement of money;
    (ii) a settlement or closing involving:
    (A) a mobile home;
    (B) a grazing right;
    (C) a water right; or
    (D) other personal property authorized by the commissioner. See Utah Code 31A-1-301
  • Filed: means that a filing is:
    (i) submitted to the department as required by and in accordance with applicable statute, rule, or filing order;
    (ii) received by the department within the time period provided in applicable statute, rule, or filing order; and
    (iii) accompanied by the appropriate fee in accordance with:
    (A) Section 31A-3-103; or
    (B) rule. See Utah Code 31A-1-301
  • Form: means one of the following prepared for general use:
    (i) a policy;
    (ii) a certificate;
    (iii) an application;
    (iv) an outline of coverage; or
    (v) an endorsement. See Utah Code 31A-1-301
  • Home state: means :
    (a) a state or territory of the United States or the District of Columbia in which an insurance producer, limited lines producer, consultant, managing general agent, or reinsurance intermediary licensee:
    (i) maintains the licensee's principal:
    (A) place of residence; or
    (B) place of business; and
    (ii) is licensed to act as a resident licensee; or
    (b) if the resident state, territory, or the District of Columbia described in Subsection (3)(a) does not license for the line of authority sought, a state, territory, or the District of Columbia:
    (i) in which the licensee is licensed;
    (ii) in which the licensee is in good standing; and
    (iii) that the licensee has designated as the licensee's designated home state. See Utah Code 31A-23a-102
  • Individual: means a natural person. See Utah Code 31A-1-301
  • Insurance: includes :
    (i) a risk distributing arrangement providing for compensation or replacement for damages or loss through the provision of a service or a benefit in kind;
    (ii) a contract of guaranty or suretyship entered into by the guarantor or surety as a business and not as merely incidental to a business transaction; and
    (iii) a plan in which the risk does not rest upon the person who makes an arrangement, but with a class of persons who have agreed to share the risk. See Utah Code 31A-1-301
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • License: includes a certificate of authority issued to an insurer. See Utah Code 31A-1-301
  • Managing general agent: means a person that:
    (i) manages all or part of the insurance business of an insurer, including the management of a separate division, department, or underwriting office;
    (ii) acts as an agent for the insurer whether it is known as a managing general agent, manager, or other similar term;
    (iii) produces and underwrites an amount of gross direct written premium equal to, or more than, 5% of the policyholder surplus as reported in the last annual statement of the insurer in any one quarter or year:
    (A) with or without the authority;
    (B) separately or together with an affiliate; and
    (C) directly or indirectly; and
    (iv) 
    (A) adjusts or pays claims in excess of an amount determined by the commissioner; or
    (B) negotiates reinsurance on behalf of the insurer. See Utah Code 31A-23a-102
  • Person: includes :
    (a) an individual;
    (b) a partnership;
    (c) a corporation;
    (d) an incorporated or unincorporated association;
    (e) a joint stock company;
    (f) a trust;
    (g) a limited liability company;
    (h) a reciprocal;
    (i) a syndicate; or
    (j) another similar entity or combination of entities acting in concert. See Utah Code 31A-1-301
  • producer: means a person licensed or required to be licensed under the laws of this state to sell, solicit, or negotiate insurance. See Utah Code 31A-1-301
  • Reinsurance: means an insurance transaction where an insurer, for consideration, transfers any portion of the risk it has assumed to another insurer. See Utah Code 31A-1-301
  • Resident: is a s defined by rule made by the commissioner in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act. See Utah Code 31A-23a-102
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • State: when applied to the different parts of the United States, includes a state, district, or territory of the United States. See Utah Code 68-3-12.5
  • Surplus: means the excess of assets over the sum of paid-in capital and liabilities. See Utah Code 31A-1-301
  • Title insurance: means the insuring, guaranteeing, or indemnifying of an owner of real or personal property or the holder of liens or encumbrances on that property, or others interested in the property against loss or damage suffered by reason of liens or encumbrances upon, defects in, or the unmarketability of the title to the property, or invalidity or unenforceability of any liens or encumbrances on the property. See Utah Code 31A-1-301
  • (a)  The commissioner shall issue or renew a license to a person described in Subsection (1)(b) to act as:

    (i)  a producer;

    (ii)  a surplus lines producer;

    (iii)  a limited line producer;

    (iv)  a consultant;

    (v)  a managing general agent; or

    (vi)  a reinsurance intermediary.

    (b)  The commissioner shall issue or renew a license under Subsection (1)(a) to a person who, as to the license type and line of authority classification applied for under Section 31A-23a-106:

    (i)  satisfies the application requirements under Section 31A-23a-104;

    (ii)  satisfies the character requirements under Section 31A-23a-107;

    (iii)  satisfies applicable continuing education requirements under Section 31A-23a-202;

    (iv)  satisfies applicable examination requirements under Section 31A-23a-108;

    (v)  satisfies applicable training period requirements under Section 31A-23a-203;

    (vi)  if an applicant for a resident individual producer license, certifies that, to the extent applicable, the applicant:

    (A)  is in compliance with Section 31A-23a-203.5; and

    (B)  will maintain compliance with Section 31A-23a-203.5 during the period for which the license is issued or renewed;

    (vii)  has not committed an act that is a ground for denial, suspension, or revocation as provided in Section 31A-23a-111;

    (viii)  if a nonresident:

    (A)  complies with Section 31A-23a-109; and

    (B)  holds an active similar license in that person’s home state;

    (ix)  if an applicant for an individual title insurance producer or agency title insurance producer license, satisfies the requirements of Section 31A-23a-204;

    (x)  if an applicant for a license to act as a life settlement provider or life settlement producer, satisfies the requirements of Section 31A-23a-117; and

    (xi)  pays the applicable fees under Section 31A-3-103.
  • (2) 

    (a)  This Subsection (2) applies to the following persons:

    (i)  an applicant for a pending:

    (A)  individual or agency producer license;

    (B)  surplus lines producer license;

    (C)  limited line producer license;

    (D)  consultant license;

    (E)  managing general agent license; or

    (F)  reinsurance intermediary license; or

    (ii)  a licensed:

    (A)  individual or agency producer;

    (B)  surplus lines producer;

    (C)  limited line producer;

    (D)  consultant;

    (E)  managing general agent; or

    (F)  reinsurance intermediary.

    (b)  A person described in Subsection (2)(a) shall report to the commissioner:

    (i)  an administrative action taken against the person, including a denial of a new or renewal license application:

    (A)  in another jurisdiction; or

    (B)  by another regulatory agency in this state; and

    (ii)  a criminal prosecution taken against the person in any jurisdiction.

    (c)  The report required by Subsection (2)(b) shall:

    (i)  be filed:

    (A)  at the time the person files the application for an individual or agency license; and

    (B)  for an action or prosecution that occurs on or after the day on which the person files the application:

    (I)  for an administrative action, within 30 days of the final disposition of the administrative action; or

    (II)  for a criminal prosecution, within 30 days of the initial appearance before a court; and

    (ii)  include a copy of the complaint or other relevant legal documents related to the action or prosecution described in Subsection (2)(b).

    (3) 

    (a)  The department may require a person applying for a license or for consent to engage in the business of insurance to submit to a criminal background check as a condition of receiving a license or consent.

    (b)  A person, if required to submit to a criminal background check under Subsection (3)(a), shall:

    (i)  submit a fingerprint card in a form acceptable to the department; and

    (ii)  consent to a fingerprint background check by:

    (A)  the Utah Bureau of Criminal Identification; and

    (B)  the Federal Bureau of Investigation.

    (c)  For a person who submits a fingerprint card and consents to a fingerprint background check under Subsection (3)(b), the department may request:

    (i)  criminal background information maintained pursuant to 2, from the Bureau of Criminal Identification; and

    (ii)  complete Federal Bureau of Investigation criminal background checks through the national criminal history system.

    (d)  Information obtained by the department from the review of criminal history records received under this Subsection (3) shall be used by the department for the purposes of:

    (i)  determining if a person satisfies the character requirements under Section 31A-23a-107 for issuance or renewal of a license;

    (ii)  determining if a person has failed to maintain the character requirements under Section 31A-23a-107; and

    (iii)  preventing a person who violates the federal Violent Crime Control and Law Enforcement Act of 1994, 18 U.S.C. § 1033, from engaging in the business of insurance in the state.

    (e)  If the department requests the criminal background information, the department shall:

    (i)  pay to the Department of Public Safety the costs incurred by the Department of Public Safety in providing the department criminal background information under Subsection (3)(c)(i);

    (ii)  pay to the Federal Bureau of Investigation the costs incurred by the Federal Bureau of Investigation in providing the department criminal background information under Subsection (3)(c)(ii); and

    (iii)  charge the person applying for a license or for consent to engage in the business of insurance a fee equal to the aggregate of Subsections (3)(e)(i) and (ii).

    (4)  To become a resident licensee in accordance with Section 31A-23a-104 and this section, a person licensed as one of the following in another state who moves to this state shall apply within 90 days of establishing legal residence in this state:

    (a)  insurance producer;

    (b)  surplus lines producer;

    (c)  limited line producer;

    (d)  consultant;

    (e)  managing general agent; or

    (f)  reinsurance intermediary.

    (5) 

    (a)  The commissioner may deny a license application for a license listed in Subsection (5)(b) if the person applying for the license, as to the license type and line of authority classification applied for under Section 31A-23a-106:

    (i)  fails to satisfy the requirements as set forth in this section; or

    (ii)  commits an act that is grounds for denial, suspension, or revocation as set forth in Section 31A-23a-111.

    (b)  This Subsection (5) applies to the following licenses:

    (i)  producer;

    (ii)  surplus lines producer;

    (iii)  limited line producer;

    (iv)  consultant;

    (v)  managing general agent; or

    (vi)  reinsurance intermediary.

    (6)  Notwithstanding the other provisions of this section, the commissioner may:

    (a)  issue a license to an applicant for a license for a title insurance line of authority only with the concurrence of the Title and Escrow Commission; and

    (b)  renew a license for a title insurance line of authority only with the concurrence of the Title and Escrow Commission.

    Amended by Chapter 290, 2014 General Session
    Amended by Chapter 300, 2014 General Session